Modern Methods Of Glucose Monitoring In The Context Of Physical Activity - Review Study
DOI:
https://doi.org/10.12775/QS.2024.19.53812Keywords
CGM, diabetes mellitus, phisycal activity, freestyle libre, dexcomAbstract
Introduction: In the last few years, with over 422 million cases of diabetes worldwide and with an overload of healthcare, the development of new glucose monitoring approaches has become a crucial subject. This paper set out to explore the effectiveness of current glucose monitoring methods, their usage in the context of physical activity, and prospects for the future.
Review methods: We conducted our study as a literature review, with data being gathered via PubMed and Embase.
The state of knowledge: Currently, the two most popular methods of glucose monitoring are self-monitoring (SMBG) and continuous glucose monitoring (CGM) with real-time devices such as Dexcom G6, and Medtronic Guardian Connect System, and intermittent devices such as Freestyle Libre 2. Both approaches are invasive and can cause allergic reactions and dermatitis. As a result, many researchers propose non-invasive methods including optical coherence tomography, spectroscopy, and fluorescence. The growing accessibility leads to the usage of CGM devices in everyday life not only by patients with diabetes melitus.
Conclusions: Advancements in diabetes technologies allow patients to maintain glucose homeostasis and improve their Quality of life. CGM devices are constantly being developed to be more accessible and easy to use, which may help adjust the training programs and diets for individual needs.
References
World Health Organization. Diabetes [Internet]. Geneva: World Health Organization; 2024 [cited 2024 May 27].
Available from:https://www.who.int/health-topics/diabetes#tab=tab_1
Langendam M, Luijf YM, Hooft L, Devries JH, Mudde AH, Scholten RJ. Continuous glucose monitoring systems for type 1 diabetes mellitus. Cochrane Database Syst Rev. 2012 Jan 18;1(1):CD008101. doi: https://doi.org/10.1002/14651858.cd008101.pub2
Bode B, King A, Russell-Jones D, Billings LK. Leveraging advances in diabetes technologies in primary care: a narrative review. Ann Med. 2021 Dec;53(1):805-816. doi: 10.1080/07853890.2021.1931427
Jędrasek A, Barg M, Biały-Karbowniczek J, Bartela A, Wojtyła K. An Overview of Modern Strategies for Treating Obesity. J Educ Health Sport [Internet]. 2024 May 14 [cited 2024 Jun. 25];68:49506. Available from: https://apcz.umk.pl/JEHS/article/view/49506
Jędrasek A, Barg M, Biały-Karbowniczek J, Bartela A, Wojtyła K. An Overview of Surgical Strategies for Treating Obesity. J Educ Health Sport [Internet]. 2024 Apr. 15 [cited 2024 Jun. 25];65:49887. Available from: https://apcz.umk.pl/JEHS/article/view/49887
Didyuk, O., Econom, N., Guardia, A., Livingston, K., & Klueh, U. (2021). Continuous Glucose Monitoring Devices: Past, Present, and Future Focus on the History and Evolution of Technological Innovation. Journal of Diabetes Science and Technology, 15(3), 676-683. https://doi.org/10.1177/1932296819899394
Langendam, M., Luijf, Y. M., Hooft, L., DeVries, J. H., Mudde, A. H., & Scholten, R. J. (2011). Continuous glucose monitoring systems for type 1 diabetes mellitus. The Cochrane Database of Systematic Reviews, 2012(1). https://doi.org/10.1002/14651858.CD008101.pub2
Villena Gonzales W, Mobashsher AT, Abbosh A. The Progress of Glucose Monitoring Review of Invasive to Minimally and Non-Invasive Techniques, Devices and Sensors. Sensors (Basel). 2019 Feb 15;19(4):800. doi: 10.3390/s19040800.
Siegmund T, Heinemann L, Kolassa R, Thomas A. Discrepancies between blood glucose and interstitial glucose—technological artifacts or physiology: implications for selection of the appropriate therapeutic target. J Diabetes Sci Technol. 2017;11(4):766-772.
https://doi.org/10.1177/1932296817699637
Mansour, M., Saeed Darweesh, M., & Soltan, A. (2024). Wearable devices for glucose monitoring: A review of state-of-the-art technologies and emerging trends. Alexandria Engineering Journal, 89, 224-243. https://doi.org/10.1016/j.aej.2024.01.021
Miller K. Dexcom vs. Freestyle Libre: Comparing CGMs. Verywell Health. Available from: https://www.verywellhealth.com/dexcom-vs-freestyle-libre-cgms-8608428. Accessed July 21, 2024.
Hanson K, Kipnes M, Tran H. Comparison of Point Accuracy Between Two Widely Used Continuous Glucose Monitoring Systems. Journal of Diabetes Science and Technology. 2024;18(3):598-607. doi:https://doi.org/10.1177/19322968231225676
W. V. Gonzales, A. T. Mobashsher and A. Abbosh (2019) The progress of glucose monitoring: A review of invasive to minimally and non-invasive techniques, devices, and sensors, Sensors, 19(4), 800. doi:https://doi.org/10.3390/s19040800
Mansour, M., Saeed Darweesh, M., & Soltan, A. (2024). Wearable devices for glucose monitoring: A review of state-of-the-art technologies and emerging trends. Alexandria Engineering Journal, 89, 224-243.doi: https://doi.org/10.1016/j.aej.2024.01.021
I. L. Jernelv, K. Milenko, S. S. Fuglerud, D. R. Hjelme, R. Ellingsen and A. Aksnes (2019) A review of optical methods for continuous glucose monitoring, Appl. Spectrosc. Rev., 54(7), 543–572 doi:https://doi.org/10.3390%2Fs21206820
Ahmed I., Jiang N., Shao X., Elsherif M., Alam F., Salih A., Butta H. & Yetisen A. K. (2021) Recent advances in optical sensors for continuous glucose monitoring doi: https://doi.org/10.1039/D1SD00030F
Alsunaidi B, Althobaiti M, Tamal M, Albaker W, Al-Naib I. A Review of Non-Invasive Optical Systems for Continuous Blood Glucose Monitoring. Sensors (Basel). 2021;21(20):6820. Published 2021 Oct 14. doi:10.3390/s21206820
Villena Gonzales W, Mobashsher AT, Abbosh A. The Progress of Glucose Monitoring-A Review of Invasive to Minimally and Non-Invasive Techniques, Devices and Sensors. Sensors (Basel). 2019;19(4):800. Published 2019 Feb 15. doi:10.3390/s19040800
Oliver NS, Toumazou C, Cass AE, Johnston DG. Glucose sensors: a review of current and emerging technology. Diabet Med. 2009;26(3):197-210. doi:10.1111/j.1464-5491.2008.02642.x
Pfützner A, Strobl S, Demircik F, et al. Evaluation of a New Noninvasive Glucose Monitoring Device by Means of Standardized Meal Experiments. J Diabetes Sci Technol. 2018;12(6):1178-1183. doi:10.1177/1932296818758769
World Global Network. HELO extense. Available from: https://website.worldgn.com/heloextense/ (Accessed: 2024-07-21)
Shokrekhodaei M, Quinones S. Review of Non-invasive Glucose Sensing Techniques: Optical, Electrical and Breath Acetone. Sensors (Basel). 2020;20(5):1251. Published 2020 Feb 25. doi:10.3390/s20051251
I. L. Jernelv, K. Milenko, S. S. Fuglerud, D. R. Hjelme, R. Ellingsen and A. Aksnes (2019) A review of optical methods for continuous glucose monitoring, Appl. Spectrosc. Rev., 54(7), 543–572
L. Chen, E. Hwang and J. Zhang (2018) Fluorescent nanobiosensors for sensing glucose, Sensors, 18(5), 1440.
Do Not Use Smartwatches or Smart Rings to Measure Blood Glucose Levels, FDA Safety Regulation, Date Issued: February 21, 2024 available from: https://www.fda.gov/medical-devices/safety-communications/do-not-use-smartwatches-or-smart-rings-measure-blood-glucose-levels-fda-safety-communication
C. Handy , M. S. Chaudhry, M. R. A. Qureshi, B.Love, J. Shillingford, L. Plum-Mörschel and E. Zijlstra (2023) Noninvasive Continuous Glucose Monitoring With a Novel Wearable Dial Resonating Sensor: A Clinical Proof-of-Concept Study. DOI: 10.1177/19322968231170242
Fitzgerald, F., Abdulrahman, A., Manhus, J., Linnane, H.,& Gurney, M. (2017). The use of continuous glucose monitoring for sport in type 1 diabetes. Irish Journal of Medical Science, 186, S363. https://pubmed.ncbi.nlm.nih.gov/30774973/
Riddell, M. C., Shakeri, D., & Scott, S. N. (2022). A brief review on the evolution of technology in exercise and sport in Type 1 diabetes: Past, present, and future. DiabetesTechnology & Therapeutics, 24(4), 289–298. https://pubmed.ncbi.nlm.nih.gov/34809493/
Riddell, M. C., Scott, S. N., Fournier, P. A., Colberg, S.R., Gallen, I. W., Moser, O., Stettler, C., Yardley, J. E.,Zaharieva, D. P., Adolfsson, P., & Bracken, R. M. (2020).The competitive athlete with type 1 diabetes. Diabetologia,63(8), 1475–1490. https://link.springer.com/article/10.1007/s00125-020-05183-8
Abdulrahman, A., Manhas, J., Linane, H., & Gurney, M.(2016). The use of continuous glucose monitoring for sport in type 1 diabetes. Diabetes, 65, A558. https://pubmed.ncbi.nlm.nih.gov/30774973/
Houlder, S., & Yardley, J. (2018). Continuous glucose monitoring and exercise in Type 1 Diabetes: Past, present and future. Biosensors, 8(3), 73. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165159/
Chu, L., Hamilton, J., & Riddell, M. C.(2011). Clinical management of the physically active patient with type 1 diabetes. The Physician and Sportsmedicine, 39(2), 64–77 https://pubmed.ncbi.nlm.nih.gov/21673486/
Reddy, N., Verma, N., & Dungan, K. (2020). Monitoring technologies- continuous glucose monitoring, mobile technology, biomarkers of glycemic control. Endotext. https://www.ncbi.nlm.nih.gov/books/NBK279046/
Moser, O., Eckstein, M. L., Mueller, A., Birnbaumer, P.,Aberer, F., Koehler, G., Sourij, C., Kojzar, H., Holler, P.,Simi, H., Pferschy, P., Dietz, P., Bracken, R. M., Hofmann,P., & Sourij, H. (2019). Impact of physical exercise on sensor performance of the FreeStyle Libre intermittently viewed continuous glucose monitoring system in people with Type 1 diabetes: A randomized crossover trial. DiabeticMedicine, 36(5), 606–611. https://pubmed.ncbi.nlm.nih.gov/30677187/
Scott, S. N., Hayes, C., Castol, R., & Fontana, F. Y. (2022). Type 1 diabetes and pro cycling: 10 years of learning from the professionals. Practical Diabetes, 39(2), 7. https://www.researchgate.net/publication/359749796_Type_1_diabetes_and_pro_cycling_10_years_of_learning_from_the_professionals
Kerr D, Axelrod C, Hoppe C, Klonoff DC. Diabetes and technology in 2030: a utopian or dystopian future? Diabet Med. 2018;35:498-503. doi: https://doi.org/10.1111/dme.13586
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Copyright (c) 2024 Aleksandra Jędrasek, Tomasz Jędrasek, Julia Pogoda, Jan Piotrowski, Izabela Hądzlik, Julia Biały-Karbowniczek, Katarzyna Słychan, Blanka Łuczak, Klaudia Bulska, Konrad Sławek
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